NPI | 1437264835 |
---|---|
Former Name | DAWN LANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 16913) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 4211) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2022-03-25 |